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Infertility/Fertility/SEMEN Assesment report (ASTHENO-TERATOzoospermia) query


Dear Concern.
It has been four years since i got marry. We are still waiting for the baby. We consulted various doctors, but didn't get any proper guidance. Below is my latest semen assessment report and i was asked to go for ICSI. i just need to confirm. is it possible for natural conception or not??Desperately waiting for the reply.

Comments: ASTHENO-TERATOzoospermia
         Not suitable for 24hrs sperm preparation

Volume: 6.5ml
Total Count: 23 million/ml
Motility: 30%

Sperm progression
Lateral 19%
Non Motile 11%
Dead 70 %

Sperm Morphology
Normal 00/100
Abnormal 100/100
Cephalic 98/100
Midpiece 59/100
Tail 38/100

Hello Sarib from Pakistan,

I think your doctor is correct.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program

Monterey, California, U.S.A.

for additional information check out my blog at check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate.  I also now provide an Email Concierge Advisory Service with a 1 year subscription for patients that want easy access to me to answer questions along their journey (women's health, infertility, pregnancy).  Contact me at if you are interested in continuous access to me.


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Edward Joseph Ramirez, MD, FACOG


I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.


I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, California Medical Association, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists

American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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